CARLA JO FENNA Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056003481

License Status

ACTIVE

Business

First Name

CARLA JO

Last Name

FENNA

Business Name

CARLA JO FENNA

Original Issue Date

08/25/1994

Effective Date

12/03/2025

Expiration Date

12/31/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/03/2025